尺神经深支损伤的治疗

Yanyan Fu, Cheng Lu, Yichen Dou, Laijin Lu
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摘要

目的探讨尺神经深支损伤的临床治疗方法。方法2013年1月至2018年8月收治尺神经深支损伤20例。对尺神经深支损伤的病因、诊断及手术治疗进行回顾性分析。结果所有患者随访时间8.9~68.1个月,平均37.0个月。根据中华医学会手外科学会颁布的上肢功能评定标准,评定结果优11例,良4例,尚可4例,差1例。结论尺神经深支损伤需要早期诊断,早期手术治疗。神经缝合或神经松解的效果与神经退行性变或内在肌纤维变性的程度有关。关键词:尺神经;治疗结果;深枝;诊断;外科治疗
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Treatment of deep branch injury of ulnar nerve
Objective To explore the clinical treatment of deep branch of ulnar nerve injury. Methods From January 2013 to August 2018, 20 cases of deep branch of ulnar nerve injury were treated. The etiology, diagnosis and surgical treatment of deep branch of ulnar nerve injury were analyzed retrospectively. Results All the patients were follow-up for 8.9 to 68.1 months with an average of 37.0 months. According to the criteria of upper extremity functional evaluation issued by the Hand Surgery Society of the Chinese Medical Association, the results were rated as excellent in 11 cases, good in 4 cases, fair in 4 cases and poor in 1 case. Conclusion The injury of the deep branch of ulnar nerve requires early diagnosis and early surgical treatment. The effect of nerve suture or neurolysis is related to the degree of neurodegeneration or intrinsic myofibrosis. Key words: Ulnar nerve; Treatment outcome; Deep branch; Diagnosis; Surgical treatment
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